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Tennessee rates for HCPCS 97156

Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), each 15 minutes

Facilitymedian $19 · 10th–90th $15–$1200%20%40%10th90th$19Professionalmedian $19 · 10th–90th $15–$440%20%40%10th90th$19$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $28.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.78 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $38.90 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.12 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $275.42 / $275.42
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $39.81 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $66.07